DAVID BRYAN FRIEDENTAG LPC 3994 LAC 123 NPI 1063028637

NPI Information

NPI: 1063028637
Provider Name: DAVID BRYAN FRIEDENTAG, LPC 3994, LAC 123
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3855 S MONACO PKWY APT 101
DENVER, CO
ZIP 80237
Phone: (303) 915-4748
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David Bryan Friedentag, LPC 3994, LAC 123 is a mental health counselor in Denver, CO. David Bryan Friedentag, LPC 3994, LAC 123 NPI is 1063028637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3855 S MONACO PKWY APT 101
DENVER, CO
ZIP 80237-207
Phone: (303) 915-4748

The NPI 1063028637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/19/2020 and was last updated on 9/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3994	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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